Agenesis of corpus callosum

Case contributed by Nauman Akram
Diagnosis certain

Presentation

Congenitally abnormal. Fits since birth.

Patient Data

Age: 18
Gender: Female
ct

There is absence of corpus callosum with absent septum pellucidum and widely spaced vertically oriented lateral ventricle. Dilated occipital horns bilaterally consistent with colpocephaly. Abnormal wavy pattern of gyral development along the inter-hemispheric fissure is seen. There is interhemispheric cyst medial to the right occipital horn measuring 4.0 x 3.3 cm.

There is a hyperdense subependymal nodule at the level of left foramen of monro measuring 7.0 x 7.3 mm. This partially calcified nodule is concerning for the tuberous sclerosis over grey  matter heterotopic nodule. Further evaluation was recommended with contrast enhanced CT / MRI.

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